| NPI | 1205858099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN MITCHELL Office Manager 606-678-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471M2300X Radiologic Technologist, Mammography (Licence: KY FDA #169292) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-22 |